Amerita, Inc ยท 1 day ago
Collection Specialist / Pharmacy / Remote
United States
Full-time
Remote
Entry Level
$18.62/hr - $22.67/hr
1+ years expAmerita, Inc. is a leading provider in home Infusion therapy, seeking a Collection Specialist to join their Revenue Cycle Management team. The role involves managing collection processes related to medical account receivables and ensuring compliance with regulations and company policies.
BiotechnologyMedicalPharmaceutical
Responsibilities
Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections
Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up
Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837
Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions
Negotiate payment plans with patients in accordance with company collection policies
Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel
Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes
Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing
Interact with third party collection agencies
Communicate consistently and professionally with other Amerita employees
Work within specified deadlines and stressful situations
Work overtime when necessary to meet department goals and objectives
Qualification
Required
High School Diploma/GED or equivalent required; some college a plus
A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Working knowledge of automated billing systems; experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills required, including Word, Excel and Outlook
Ability to type 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
Preferred
Experience with CPR+
Benefits
Health, Dental, Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance
Company
Amerita, Inc
Amerita is a leading specialty infusion company focused on providing a wide range of complex therapies and personalized clinical services for acute and chronic health conditions.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Christopher J. Urban
Chief Operating Officer
Richard Iriye
COO
Recent News
2023-10-08
Louisville Business First
2023-09-05
Company data provided by crunchbase